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Search › Michigan › General Practice Dentistry

Philip Wisniewski, DDS, FAGD, PC

NPI 1386788610 · on the registry since 2007 · sole proprietor

Practice

Address
291 W Lakewood Blvd
Holland, MI 49424
Phone
(616) 396-9583
Fax
(616) 396-8347
Organisation at this address
Phares Family Dentistry
Port Pediatric Dentistry Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan